Individual
BRETT LEVI PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
886 E PRAIRIE FIELD LN, SAHUARITA, AZ 85629-6930
(315) 663-5661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014259
AZ
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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